Small World Early Learning & Dev CTR 2

The file for Staff Person #2 lacked a disclosure statement and an NSOR Certificate. The State Police Clearance in the file for Staff Person #2 was in "pending" status and is not valid.

The file for Staff Person #2, who has been working for more than 90 days, does not include documentation of emergency plan training. (See LIS Code Sheet).

The gate in the infant room was detaching from the wall, which creates a potential pinch hazard.

A visual strip or other visual identification was not placed on the glass door in the 1's room.

Observed a child napping in front of the exit door in the 1's room and 2's room.

Observed less than 2 feet of space on three sides of cots for five children who were napping in the 2's room.

Staff person #2 has not completed the following required pre- service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR.

The most recenty Mandated Reporter Trainings in the file for Staff Person #1 exceeded 60 months between trainings.

The facility does not have documentation of a passing fire system inspection conducted within the past 12 months. The most recent fire system inspection, conducted on 6/7/24 notes failures in the following areas: Alarm panel power, booster power supplies, initiating devices, indicating devices, and elevator recall.

The most recent NSOR Certificates in the files for Staff Person #2, #4 and #8 exceeded 60 months between certifications. The most recent Child Abuse Clearances in the file for Staff Person #8 exceeded 60 months between clearances. The most recent FBI Clearances in the files for Staff Person #7 and #8 exceeded 60 months between clearances. The State Police Clearance in the file for Staff Person #6 was conducted after the staff person's start date and there was no application for the state police clearance on file for Staff Person #1 to verify a valid provisional hire. The disclosure statement in the file for Staff Person #6 was not witnessed. (See LIS Code Sheet).

A first aid kit was not present in the gym while children were receiving care in this area.

Observed in the gym: sliding closet doors were unhinged and propped against the wall, Toy shelves, one of which a frame was separating, were stacked on top of each other, a box containing an unassembled kitchen playset was stacked on top of another toy shelf. This creates potential toppling hazards.

A visual strip or other visual identification was not placed on the glass door in the gym.

Observed toys and shelves blocking the exit door in the right corner of the gym.

Observed less than 2 feet of space on three sides of the pack n plays in the infant room where Child #2 and #3 were sleeping.

The most recent health assessments in the files for Staff Person #1, #4 and #7 exceeded 24 months between assessments. The initial health assessment in the file for Staff Person #6 was conducted after the staff person's first day providing child care (See LIS Code Sheet).

Infant feeding schedules were not present at the facility for Child #1, #2 and #3.

The file for Child #3, who has been enrolled for more than 60 days, did not include an initial health report.

The most recent Mandated Reporter Trainings in the files for Staff Person #5 and #7 exceeded 60 months between trainings.

The file for Staff Person #3 contained a foreign degree which had not been transcribed/evaluated by a member of the National Association of Credential Evaluation Services (NACES) or the Association of International Credential Evaluators (AICE).

The emergency contact form in the file for Child #1 did not include the name, address, and phone number of the child's physician or source of medical care.

The emergency contact form in the file for Child #3 did not include the parent's work address or work phone number.

The emergency contact form in the file for Child #3 did not include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

Emergency contact forms were not present in the gym while children were receiving care in this room. Emergency contact forms were not present in the Older Toddler Room for Child #4 and Child #5, who were receiving care in this room.

The TB Screening in the file for Staff Person #1 was conducted after the staff person's first day working in child care. The file for Staff Person #1 does not contain an initial health assessment (See LIS Code Sheet).

The most recent annual fire system inspections for the facility were conducted more than one year apart: March, 2023-June 2024.

The most recent pediatric first aid/CPR Certification in the file for Staff Person #2 was conducted after the previous certificate had expired.

The pediatric first aid/CPR Certification in the file for Staff Person #3 was conducted more than 90 days after the staff person's first day working in child care (See LIS Code Sheet).

The most recent Mandated Reporter Training in the file for Staff Person #4 was conducted more than 60 months after the previous mandated reporter training.

The most recent State Police, Child Abuse and FBI clearances in the file for Staff Person #7 exceeded 60 months between clearances.

On 1/10/23 at 9:20 AM, Staff Persons #3 and #10 were observed supervising a mixed group of 14 children (12 younger toddlers and two older toddlers) in the Young Toddler Room. Staff Person #9, who was also assigned to the room was preparing and serving breakfast at this time. Based on sign-in sheets and conversation with staff, the room was over ratio from 9:00 - 9:20 AM.

Observed soiled paper towels and Kleenex's in two trash cans, which lacked plastic liners, in the gym.

The first aid kit in the Infant Room lacked soap.

The baby gate between the sleeping area and the main area of the Infant Room was broken. Observed dirt and debris along the wall vents below the windows in the Infant and Young Toddler Rooms.

Two toilet stalls in the Preschool Bathroom lacked handwashing signs.

Observed dirt and debris under the diaper changing mats in the Infant and Young Toddler Rooms. Observed a hole, which created a sharp edge, on the sliding board playset in the gym.

The file for Child #5, a Preschool Child, did not include an updated health report conducted within the past 12 months.

The most recent immunization records for Child #4 and Child #6 did not include documentation of a flu shot administered within the past year or a letter of exemption from the parent or physician.

The most recent updated health assessments in the files for Staff Person #2, #3, #4 and #9 exceeded 24 months between health reports. The TB screening in the file for Staff Person #10 was conducted more than one year prior to the staff person's start date and is not valid. (See LIS Code Sheet).

The bottle for Child #1 was not labeled.

The file for Child #3, who has been enrolled for more than 60 days, lacked an initial health report.

The one-hour Health and Safety Updates in the files for Staff Person #1, #3, #8 and #9 were after the prescribed timeframe of 12/30/22.

The most recent fire safety trainings in the files for Staff Person #4 and #8 exceeded 12 months between trainings.

The pediatric First Aid/CPR Certification in the file for Staff Person #5 was conducted more than 90 days after the staff person's start date. (See LIS Code Sheet)

The Mandated Reporter Training in the file for Staff Person #5 was conducted more than 90 days after the staff person's start date. (See LIS Code Sheet)

The files for Staff Person #5 and #6, assistant group supervisors, lacked verification of two years child care experience.

The fee agreement in the file for Child #2 lacked the names of the release persons.

The emergency contact form and fee agreement in the file for Child #6, who has been enrolled for more than 6 months, have not been updated by the parent.

Staff person #1 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Health and Safety Training.

Based on conversations with staff, it was confirmed that Child #1 fell and chipped her teeth causing her lip to bleed on July 3, 2023 and an injury report was given to the parent. This accident/injury was not documented in the accident file or child's file.

The most recent State Police Clearances in the file for Staff Person #1 exceeded 60 months between clearances: 11/3/17-1/3/23. The files for Staff Persons #5 and #6 lacked an NSOR Certificate. Staff Persons #5 and #6 were suspended 90 days after start dates (See LIS Code Sheet), rather than 45 days, which is the required provisional hire period. The most recent Child Abuse and FBI Clearances in the file for Staff Person #8 exceeded 60 months between clearances. Child Abuse: 8/18/17-12/16/22. FBI: 6/15/17-12/23/22. The most recent State Police, Child Abuse and FBI Clearances in the file for Staff Person #9 exceeded 60 months between clearances. State Police: 11/15/17-12/15/22. Child Abuse: 11/16/17-12/16/22. FBI: 11/19/17-12/20/22.

Observed dirt on the ceiling tiles near the ceiling vents in the Young Toddler Room, Infant Room, and Gym. Observed one loose ceiling tile by the window in the Young Toddler Room. Observed three loose wall partitions in the Preschool 2 Room, which creates a potential pinch hazard.

The glass entrance door to the Young Toddler Room lacked a visual strip.

Observed teeth marks on the foam blocks in the Preschool 1 Room. This creates a potential choking hazard for children who may still be placing objects in their mouths.

The most recent updated health reports in the file for Child #6, a young toddler, exceeded 6 months between reports.

The most recent immunization record in the file for Child #7 did not contain documentation of a flu shot administered within the past year or a letter of exemption from the parent or physician.

Observed alcohol prep pads in the first aid kit in the Preschool 2 room which did not contain the name of the child for whom the medication was intended.

The most recent updated health assessments in the files for Staff Person #4 and #7 exceeded 24 months between assessments.

The file for Child #1, who has been enrolled for more than 60 days, did not include an initial health report. The initial health report in the file for Child #5 was conducted more than 60 days after the child's first day in care.

The file for Staff Person #3 lacked the one-hour Health and Safety Update, which had a prescribed timeframe of 12/30/22. The one-hour Health and Safety Update in the file for Staff Person #4 was conducted on 1/9/23, and the one-hour Health and Safety Update in the file for Staff Person #7 was conducted on 1/4/23, which were not within the prescribed timeframe of 12/30/22.

The most recent fire safety trainings in the file for Staff Person #9 exceeded one year between trainings: 2/17/21-12/29/22.

The pediatric First Aid/CPR certification in the file for Staff Person #1 was conducted more than 90 days after the staff person's first day working in child care (See LIS Code Sheet). The Health and Safety training and Pediatric First Aid/CPR certification in the file for Staff Person #2 was conducted more than 90 days after the staff person's first day working in child care (See LIS Code Sheet). The Health and Safety training in the file for Staff Person #6 was conducted more than 90 days after the staff person's first day working in child care (See LIS Code Sheet).

Staff person #6 has not completed the following required pre-service training within 90 days of their date of hire (see LIS code sheet): Pediatric First Aid/CPR from a PQAS approved trainer and a PQAS approved curriculum.

The Mandated Reporter Training in the file for Staff Person #2 was conducted more than 90 days after the staff persons first day working in child care (See LIS Code Sheet). The most recent Mandated Reporter Trainings in the file for Staff Person #9 exceeded 60 months between trainings: 1/4/18-1/23/23.

The emergency contact binder in the Young Toddler Room did not contain an emergency contact form for Child #2 who was receiving care in that room. The emergency contact binder in the Older Toddler Room did not contain emergency contact forms for Child #1, #3 and #4 who were receiving care in that room.

The file for Staff Person #4 contained only 4 hours of annual training for the period 1/2/22 through 1/2/23.

On 6/22/22, Staff Person #1 was observed caring for children unsupervised. The Health and Safety Training in the file for Staff Person #1 was 6-hour Health and Safety Basics, dated 3/26/19, which is not valid.

Observed one electrical outlet that lacked a protective receptacle cover in the YT Room.

Some of the rest mats in the gym were torn. This exposed the inner foam, which creates a potential hazard for children who are still placing objects in their mouths.

Observed dirt and debris under the mats of the diaper changing tables in the Infant and toddler rooms.

The file for Staff Person #3, lacked an initial health assessment and TB Screening.

The file for Staff Person #2, who has been working in child care for more than 90 days, did not include documentation of Health and Safety Training.

The file for staff #2, with a start date of 1/04/22, did not contain a signed disclosure statement. The file for staff #3, with a start date of 8/09/21, did not contain a DHS FBI clearance. The file contained an FBI clearance obtained from the Department of Education on 7/16/21.

The file for staff #2, with a start date of 1/04/22, did not contain documentation of emergency plan training.

The first aid kit in PS2 was accessible to children on the bottom shelf of the cubbies where children place their coats.

An area rug in the older toddler room was observed to have an unraveled binding on one corner which created a loop and a tripping hazard. The folding closet door in the gym's restroom was no longer secured in the top track and the upper middle hinge was broken making the door unstable.

A portable space heater was observed in an office.

Split seams exposing the inner foam filling were observed on a nap mat in the gym and a mat used for diaper changes in the older toddler room. Two tears exposing the inner foam filling were observed on a black padded adult chair in the infant room.

Multiple cracks and breaks, which created pinch points and sharp edges, were observed on the seat of a red child size chair in the older toddler room.

The facility's refrigerator in the kitchen did not contain a thermometer.

The files for children #1, #4, and #5 contained immunization record which did not include documentation of receiving the influenza vaccine in accordance with the schedule recommended by the ACIP. Written exemptions were not on file.

In PS2, medication logs intended for child #6 and child #7 did not include the names of the medication.

In PS2, the medication log for child #6 did not include the initials of the staff person who administered medication on 11/18/21.

The file for staff #1 contained health assessments conducted more than 24 months apart; 8/29/19 and 10/17/21. The most recent health assessment on file is now current

The file for staff #4 contained the results of a TB screening completed after their first day in a child care position. Staff #4 started on 12/06/21 and the reading of the TB screening occurred 12/09/21.

The operator was unable to provide proof of purchase or installation for the facility's fire detection system.

The file for child #1, enrolled since 7/26/21, did not contain a health report.

The file for staff #3 did not contain documentation of completing training tops 1-9, as stated in 3270.31(f), within 90 days of hire. Staff #3 started in 8/09/21 and the training was completed on 12/14/21.

The files for children #1 and #4 contained agreements which did not specify the date on which the fee is to be paid.

The files for children #1 an #2 contained agreements which did not specify the child's arrival and departure times.

The file for child #1 contained an agreement which did not specify the persons designated by a parent to whom the child may be released.

The files for children #1, #2, and #3 contained agreements which did not specify the date of the child's admission.

The files for children #1 and #3 contained emergency contact information which did not include health insurance coverage and policy number for the child.

The files for children #3, #4, an #5 contained emergency contact information which did not include the addresses of each individual designated by the parent to whom the child may be released.

The file for child #2 contained an emergency contact form which has not been updated in over 6 months. The last review and update occurred 6/21/21.